Objective: To find out the laproscopic cholecystectomy outcomes association with operational findings in rural area of district Sanghar, Sindh, Pakistan. Methods: This longitudinal and interventional study was conducted in a private hospital of Tando Adam District Sanghar the rural area of Sindh, Pakistan from March 2013 to October 2019. Patients above 15 years of age from both genders were taken by using convenient sampling technique, having symptomatic gallstones, favorable or unfavorable anatomical conditions, acute and chronic cholecystitis. Patients with dilated common bile duct (>8 mm in diameter), jaundice, mass at porta hepatis and uncorrectable coagulopathy were excluded. SPSS-22 was used for the statistical analysis. Results: This study included 28(13.9%) males and 173(86.1%) females. Mostly participants fall between the age of 30 to 39 years 65(32.3%). Significant association (p-value< 0.05) was found between the operational findings of the participants and there outcomes. Conclusion: Most of the participants were female. Majority fall between the age range of 30 to 39 years. Many of them stayed in the hospital for up to 24 hours. Significant association was found between the operational findings of the participants and there outcomes. Keywords: Laparoscopic cholecystectomy, Outcomes, Gall stones, operational findings

To find out the laproscopic cholecystectomy outcomes association with duration of hospital stay in rural area of district Sanghar, Sindh, Pakistan. Methods: This longitudinal and interventional study was conducted in a private hospital of Tando Adam District Sanghar the rural area of Sindh, Pakistan from March 2013 to October 2019. Patients above 15 years of age from both genders were taken by using convenient sampling technique, having symptomatic gallstones, favorable or unfavorable anatomical conditions, acute and chronic cholecystitis. Patients with dilated common bile duct (>8 mm in diameter), jaundice, mass at porta hepatis and uncorrectable coagulopathy were excluded. SPSS-22 was used for the statistical analysis. Results: This study included 28(13.9%) males and 173(86.1%) females. Mostly participants fall between the age of 30 to 39 years 65(32.3%). 146(72.6%) participants stayed in the hospital for up to 24 hours.  Non-significant association (p-value> 0.05) was found between the duration of the hospital stay and outcome of laparoscopic cholecystectomy. Conclusion:  Non-significant association was observed between duration of the hospital stay and outcome of laparoscopic cholecystectomy

Objective: To find out the frequency of wound infection in children undergoing appendectomy for acute vs perforated appendicitis. Study Design: Observational and Cross-sectional study. Setting: Department of Surgery at Children’s Hospital and the Institute of Child Health Lahore. Period: January 2018 to July 2018. Material & Methods: Data was collected by using Random sampling technique. Patients of both genders were included. Diabetic children were excluded. Questionnaire was developed with the help of experts, literature review and data collection. Results: A sum of 120 patients were included with mean age of 9 + 1.94 SD minimum was 7 and maximum was 13. Some patients have acute appendicitis 20(16.67%) and 100 (80.33) perforated appendix undergone appendectomy. Conclusion: The findings of the study indicated that there is less wound infection in acute appendix but more wound infection observed in perforated appendix after appendectomy.